Organization Active NPI

Lechris Health Systems of Jacksonville, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1326353491
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-067-180 Issued in NC
Legal business name
LECHRIS HEALTH SYSTEMS OF JACKSONVILLE, INC.
Practice address
57 Office Park Dr
Jacksonville, NC 28546-7327
Phone
(910) 577-8200
Fax
(910) 577-8270
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sarah H. Schwarz, MS
Title
Pres/Ceo
Phone
(252) 636-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-067-180 NC Primary

Addresses

Primary practice location

57 Office Park Dr
Jacksonville, NC 28546-7327

Mailing address

57 Office Park Dr
Jacksonville, NC 28546-7327
Phone (910) 577-8200

Other identifiers 2

IdentifierTypeStateIssuer
8302579GMedicaidNC
8302579SMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Lechris Health Systems of Jacksonville Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1326353491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467327",
            "telephone_number": "910-577-8200",
            "fax_number": "910-577-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467327",
            "telephone_number": "910-577-8200",
            "fax_number": "910-577-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECHRIS HEALTH SYSTEMS OF JACKSONVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "252-636-6105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-067-180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302579G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302579S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.